NPI: 1932534930 · MEDFIELD, MA 02052 · Dental Clinic/Center · NPI assigned 09/09/2013
| Authorized Official | DEMELLO, MARY (OWNER) |
| NPI Enumeration Date | 09/09/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $274.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $274.00 |